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NPI Code Detail

MEDICARE: DR. JASMINE ENO BOONE LPC

MEDICARE: DR. JASMINE ENO BOONE LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor77009TX

General Provider Information

NPI Number : 1962350769
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASMINE ENO BOONE LPC
Provider Business Mailing Address
First Line : 22814 BRAKEN CARTER LN
Second Line :
City : KATY
State : TX
Zip : 77449-3624
Country : US
Telephone Number : 281-686-3058
Fax Number :
Provider Business Practice Location Address
First Line : 1325 CAMPBELL RD
Second Line :
City : HOUSTON
State : TX
Zip : 77055-6403
Country : US
Telephone Number : 713-365-9015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/18/2026

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